Introduction to Project E.R.I.C. Exposure based Rehabilitation in - - PowerPoint PPT Presentation

Ministry of Defence Military Mental Healthcare Unit & Simulation Centre Colonel Eric Vermetten & Captain Ewout van Dort

Introduction to Project E.R.I.C.

Exposure based Rehabilitation in Immersive Context

17 mei 2019

Ministry of Defence

2

Introduction to Project ERIC

The R&D approach

17 mei 2019

Ministry of Defence

3

Introduction to Project ERIC

TRL 5

17 mei 2019

Usecase Demo Demonstrator Proof of Principle Proof of Concept Proof of Concept testing and further development Demonstrator v2 Demonstrator vX TRL 1 TRL 2 TRL 3 TRL 4 TRL 6/7/8 /9

Industry

Ministry of Defence

4

Introduction to Project ERIC 17 mei 2019

Ministry of Defence

5

Introduction to Project ERIC

Key features and starting points

• Commercial-of-the-shelf hardware
• VR Headset (enhanced with eye-tracking)
• Regular sports heartrate monitor
• Open-Source software
• Rapid prototyping by interns
• Close cooperation with SME from Mental Healthcare

Unit

17 mei 2019

Ministry of Defence

6

Introduction to Project ERIC 17 mei 2019

Ministry of Defence

7

Introduction to Project ERIC

E.R.I.C. = Virtual Reality Exposure Therapy based on immersive experience - 1

• First line treatment PTSD = exposure
• Often drop out, or failure to comply
• ERIC = aid to EB therapies
• Bypassing avoidance
• Need to better personalize treatment
• Multi modular
• Empowerment based
• Version 1.0
• Other example 3MDR

17 mei 2019

Ministry of Defence

8

Introduction to Project ERIC

Lack of improvement PTSD Drop out Resistance to therapy Motion is default Reconsolidation theory Empowerment! Cognitive avoidance International collaboration (NETH, UK, US, CAN, ISR)

Ministry of Defence

9

Introduction to Project ERIC

Music Pictures Walking

Ministry of Defence

10

Introduction to Project ERIC

Research & Innovations | 3MDR Global

Ministry of Defence

11

Introduction to Project ERIC

E.R.I.C. = Virtual Reality Exposure Therapy based on immersive experience -2

• Adapted Based on 3MDR and Gray, adaptive disclosure
• Sitting
• Therapist is in the room!
• Control is key
• Narrative elements – personalized book with cognitive

frames, enhancers, correctors

• Voice to text
• Eye tracking – therapist can see eye gaze
• ‘Stage’ orientation, journey in own diary
• Radio/music for memory recall, or stress reduction
• Battle breathing, or game to distract
• Pacing to own tempo – duration 45 minutes

17 mei 2019

Ministry of Defence

12

Introduction to Project ERIC

E.R.I.C. = Virtual Reality Exposure Therapy based on immersive experience - 3

• Keep cognitive tekst ‘in’ with every session
• Revisiting effect – ‘peel off’ layers, new learning
• Meaning making experience
• Effect of immersiveness maximizes after 10 min
• ‘After talk’
• New pictures, new material, drawing, medals etc
• After 3-5 sessions end with positive pictures
• Learn to tolerate, accept, mindfull experience

remembering

17 mei 2019

Ministry of Defence

13

Introduction to Project ERIC

E.R.I.C. = Virtual Reality Exposure Therapy based on immersive experience - 4

• Time per picture: max 6 minutes
• 7 pictures per session
• Monitor HR or HRV
• VR ERIC: 1 preparatory session, 6 VR sessions, 2-3

reconsolidation/reintegration sessions

17 mei 2019

Ministry of Defence

14

Introduction to Project ERIC

Current progress

• Dutch company “Infinity Labs” started in April with

further development to Proof of Concept

• Added features:
• More accurate heartrate monitoring
• Respiration measuring
• Enhanced eyetracking, including pupil and blink

monitoring

• 4K ready graphics
• Controller-free interaction
• Q3 2019 planned start scienctific research program

at Leiden University (NLD) for medical approval

17 mei 2019

Ministry of Defence

15

Introduction to Project ERIC 17 mei 2019

Ministry of Defence

16

Introduction to Project ERIC

Future development focus

• ERIC available on remote locations
• Integration of additional sensory experiences like

heat, smell, wind and possibly taste

• ERIC available for NATO related servicemembers

after medical approval

17 mei 2019

Ministry of Defence

17

Introduction to Project ERIC

References

• All content shown is created either in-house or by

Infinity Labs under RNLA IP.

• Special thanks to the fantastic interns of the Royal

Netherlands Army Simulation Centre for they created the displayed Proof-of-Concept

• Very special thanks to Mr Fred, the volunteer

veteran shown in the first video.

Ministry of Defence

18

Introduction to Project ERIC 17 mei 2019